[A prospective registration of diagnosis and treatment of breast tumors at the Ulleval hospital 1988-1995].

摘要: During the years 1988 to 1995, all diagnostic and therapeutic activities in Breast Clinic, Ulleval Hospital, Oslo, Norway were registered prospectively. This paper presents results from registration. Of 4,436 new referrals, 1,169 had infiltrating mammary carcinoma 63 ductal situ. 13.6% of those with breast 12.3% benign disease a first degree relative cancer. The use biopsies for palpable nonpalpable lesions decreased significantly through period, 155/112 65/78 1995. For lesions, malign/benign ratio 0.82 0.54 1995 while it improved 0.43 0.88 marked lesions. Excluding mammographically and/or cytologically suspicious who biopsy lesion, we found that only seven out 101 cancer (ratio 0.07). Radical surgery was done 790 cases cytology as pre- peroperative verification. Three them false positive cytology, not breast. One patient metastasis later confirming been present; thus two cytologies (2.5 per thousand). More than six axillary lymph nodes have be examined order avoid negative status. In 41% less examined. 15% preserving therapy increased throughout period 4.1% 29.4% Tumor size (pTI around 40%) node positivity (35%) fairly constant. our opinion, continuous prospective registration activity centre is essential improve maintain service quality. decision made by Norwegian parliament 1998 introduce nation-wide mammography screening may used institute such registrations centres involved screening.